대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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유방암 환자를 위한 표현적 글쓰기 프로그램의 개발 및 효과

Development and Effectiveness of Expressive Writing Program for Women with Breast Cancer in Korea

  • 투고 : 2011.08.08
  • 심사 : 2012.04.26
  • 발행 : 2012.04.30
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초록

Purpose: To develop a expressive writing program for women with breast cancer and to identify its effects on stress physical symptom, cancer symptom, anxiety, depression, and QOL. Methods: A non-equivalent control pre-post design was used. Participants were recruited from self-help groups in six hospitals and were assigned to the experimental group (29) or control group (29). Data were collected before, after, and at four weeks after the intervention program. Changes in the variables were evaluated to test effects of the developed program, using $X^2$-test, Fisher's exact test, repeated measures ANOVA, and paired t-test. Results: The expressive writing program was developed for women with breast cancer based on Pennebaker's expressive writing. Significant differences were found between the two groups for stress related to physical symptoms ($p$<.00) and quality of life ($p$=.024). No significant differences were found in cancer symptoms, anxiety, or depression between the two groups. Conclusion: The results indicate that the expressive writing program designed to express cancer-related deep thoughts and emotions helps in decreasing physical symptoms and improving QOL. Further studies are needed to identify the effect on emotions such as anxiety and depression for women with breast cancer with above average levels of anxiety and depression.

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참고문헌

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  3. Expressive writing interventions in cancer patients: a systematic review vol.8, pp.3, 2012, https://doi.org/10.1080/17437199.2014.882007
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  5. Effect of Expressive Writing Intervention on Health Outcomes in Breast Cancer Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials vol.10, pp.7, 2012, https://doi.org/10.1371/journal.pone.0131802
  6. The Effects of Expressive Writing Interventions for Patients With Cancer: A Meta-Analysis vol.43, pp.4, 2012, https://doi.org/10.1188/16.onf.468-479
  7. Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic considerations vol.20, pp.27, 2016, https://doi.org/10.3310/hta20270
  8. Effect of prolonged expressive writing on health outcomes in breast cancer patients receiving chemotherapy: a multicenter randomized controlled trial vol.29, pp.2, 2012, https://doi.org/10.1007/s00520-020-05590-y
  9. Effect of Expressive Writing on Professional Quality of Life and Resilience among Intensive Care Unit Nurses vol.46, pp.3, 2021, https://doi.org/10.21032/jhis.2021.46.3.276